Individual
DR. JOHN T VAN DEN BOSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
950B N WYOMISSING BLVD, 3RD FLOOR, WYOMISSING, PA 19610-1783
(610) 898-1820
(610) 376-0164
Mailing address
50 COMMERCE DR, WYOMISSING, PA 19610-3335
(610) 372-8044
(484) 334-7026
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD014906E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000645990
—
PA
Enumeration date
04/13/2006
Last updated
08/02/2012
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